Nomination FormEntrepreneurial Faculty Achievement Awards

Sponsored by offices of:Entrepreneurial Affairs and Technology Commercialization and the Office of Research

Name of Faculty Member:

College:

Department:

Phone:

e-mail:

Mail Location:

Name of Nominator (self or other):

Nominator Phone:

Indicate Award Category of Application:

Established Entrepreneur Award

For faculty with a record of five or more years of successful entrepreneurial ventures,
based upon University research and/or intellectual property. (Both current and
previous UC faculty are eligible, as long as entrepreneurial success is connected
to University of Cincinnati research and/or intellectual property.)

Emerging Entrepreneur Award

For faculty who have successfully launched a new venture during the past 5 years, based on University research/intellectual property.

Entrepreneurial Accomplishment Information

Please provide information as requested below. Information
should include non-confidential information of how UC licensing led to enhanced
product development or service. Verification of information will be requested
only if nominee is selected as a finalist.

Description of Innovations/Technologies Developed

Description of unmet need, potential impact of technology and current
commercialization status